[The urethral pressure profile at rest and in stress following diaphragmplasty]

56 women underwent vaginal repair because of primary genuine stress incontinence. Urodynamic investigation was carried out preoperatively and 10.9 (7-13) months after surgery. At follow-up continence was demonstrable in 44/56 patients (79%). Detrusor instability following surgery for stress incontinence was found in 2/56 patients (4%). Vaginal repair failed to rectify stress incontinence in 21% of the patients. In cured patients the postoperative urethral pressure profile at rest remained unchanged, while the postoperative urethral closure pressure profile during stress significantly increased in these patients. In incontinent patients following surgery the urodynamic parameters of both pressure profiles correlated well with the severity of the incontinence.